[Adenocarcinoma in a closed rectal stump in inflammatory bowel disease].
We describe two cases of adenocarcinoma occurring in a closed rectal stump approximately 30 years after subtotal colectomy for ulcerative colitis, respectively, Cohn's disease. After many years disease-free, the patients presented with rectal secretions, including blood, and were diagnosed with metastasizing rectal cancer. Since malignant degeneration of a closed rectal stump may not give rise to symptoms until late in the disease process, it is suggested that the rectum should be controlled endoscopically every 2nd year following a subtotal colectomy for inflammatory bowel disease to enable radical surgery.
Petersen
Christine N Rønne
CN
Herlufsvaenge 17, st. th, DK-4700 Naestved. Christine_ronne_petersen@hotmail.com
Raahave
Dennis
D
D000230:Adenocarcinoma / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000150:complications / Q000601:surgery*; D003125:Colostomy; D003424:Crohn Disease / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors